Can You Apply for a Medicare Supplement Plan After your Open Enrollment Period?
When should I enroll in a Medicare Supplement policy?
Medicare Supplement policies help cover out-of-pocket costs, such as coinsurance, copayments and deductibles, that Medicare (Part A and Part B) doesn’t pay. The best time to buy a Medicare Supplement policy is typically during the Medicare Supplement Open Enrollment period. During this Open Enrollment period, you cannot be subjected to medical underwriting, where insurance companies could use a pre-existing health condition as a reason to deny you coverage or charge you more for coverage.
The Medicare Supplement Open Enrollment period lasts for 6 months and begins on the first day of the month in which you’re both
- 65 or older
- Enrolled in Medicare Part B
- Some states have additional Open Enrollment Periods including those for people under age 65.
What are guaranteed-issue rights?
Some situations may provide you with guaranteed-issue rights, where insurance companies cannot refuse you coverage or charge you more for a pre-existing condition even outside of Open Enrollment. Situations that could result in guaranteed-issue rights are
- Your Medicare Supplement insurance company goes bankrupt and you lose your coverage
- Your Medicare Supplement plan misled you
- Your Medicare Advantage plan stops giving care in your area or you move out of your plan’s service area and you join Medicare
- You have an employer group health plan or union coverage that is ending
- You have Medicare SELECT and you move out of the policy’s service area
- You joined a Medicare Advantage plan and decide to switch to Medicare
- You dropped your Medicare Supplement policy to enroll in a Medicare Advantage plan, and you want to switch back to Medicare less than a year later
Losing your health-care coverage may give you a guaranteed-issue right to buy a Medicare Supplement (Medigap) policy. Keep documentation, such as letters, emails and notices of your termination of coverage to send with your Medigap application to prove that you have guaranteed issue right.
When will I be subjected to medical underwriting?
Insurance companies may still sell you a Medicare Supplement plan after your Open Enrollment period ends and you don’t have guaranteed-issue rights, but you may have to meet medical underwriting requirements. You may be asked questions about your health conditions, and either pay a higher premium or be denied coverage based on pre-existing conditions.
What does a Medicare Supplement plan cover?
Medicare Supplement plans are standardized, and in most states they’re labeled A through N (plans E, H, I, and J are no longer sold). These plans may cover a range of health-care costs, such as Medicare Part A coinsurance, blood, skilled nursing facility care coinsurance, Part A and Part B deductible, and foreign travel emergencies up to plan limits.
While all Medicare Supplement plans cover Medicare Part A coinsurance at 100%, the rest of the benefits vary among plans. For example, Medicare Part A out-of-pocket costs include a $1,316 deductible for each benefit period and a $329 coinsurance per day of hospitalization after 60 days for each benefit period (in 2017). Beyond Part A coinsurance, not all Medicare Supplement plans cover all benefits at the same percentage.
Keep in mind that Medicare Supplement only works with Original Medicare. You can’t use these plans to pay for Medicare Advantage costs.
The product and service descriptions, if any, provided on these eHealth Insurance Web pages are not intended to constitute offers to sell or solicitations in connection with any product or service. All products are not available in all areas and are subject to applicable laws, rules, and regulations.
This website and its contents are for informational purposes only. Nothing on the website should ever be used as a substitute for professional medical advice. You should always consult with your medical provider regarding diagnosis or treatment for a health condition, including decisions about the correct medication for your condition, as well as prior to undertaking any specific exercise or dietary routine.
Call to speak with a licensed
insurance agent now.
1- TTY users 711